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HomeMy WebLinkAbout0035 HIGH SCHOOL ROAD J - - - - _ � .� . , \ -- I f F 9 +p. A Y �' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # n Health Division Date Issued �2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis 47 Project Street Address l Village f Owner (c r Address Telephone 0� 725--`-0 C a.-L Permit Request �� _SC.dp ��ro� S; rm Z�yr_- U) & Cc� S leln Do©r 7'ID Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new J Zoning District Flood Plain Groundwater Overlay Project Valuation6 ®® Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ®'Yes ❑ No On Old King's Highway: ❑Yes &INo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area Number of Baths: Full: existing new Half: existing dew �r Q Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Ro m Cour'l,. Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stow: ❑ s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r\ ��61 rt Telephone Number 77 8 Q Address ,� �ui b C� Ave License # 69AI?Iq 0 � rd�to c' LZ Home Improvement Contractor# lys--igd Worker's Compensation # �60,pnyV11. .t/v. AIZ X,��' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �iryl�o SIGNATURE DATE 1/1 i • FOR OFFICIAL USE ONLY r ARPLICATION# j DATE ISSUED ' MAP/PARCEL NO.. ADDRESS VILLAGE OWNER 1 F DATE OF INSPECTION: t FOUNDATION`S j l - FRAME c . INSULATION. FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t . r GAS: ROUGH :r: yip:= FINAL r FINAL BUILDING',".{ t DATE CLOSED OUT }� ASSOCIATION PLAN NO. t � r ;f The Commonwealth of Massachusetts .Department ofI ndustrial,4ccidents Office of Investigations + 600 Washington Street Boston, MA 02111 www.m ass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name (Business/Organization/Individual): �JO�►'� �G(i►'►' C5 AR� Address: 39 S a ( V Ave C ity/State/Zip: �� IP � Aaone.#: Are you an employer? Check the appropriate box: Type of proj&ct(required): 1.❑ I am a m employ er with 4. ❑ I am a general contractor and I P Y 6. ❑New construction mployees(full and/or part-tim.e).* have hired the stab-contractors 2. I a a sole proprietor or'partiler-' Listed on the'attached sheet T. ❑Remodeling sbip and have no employees These sub-contractors have g. '❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'.comp.-insurance comp, insurance.$ required] 5. ❑ We arc a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §l(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#1 mustalso fill out the section below showing theirworkm'compensation policy information. t Homeowners who subnvt this affidavit indicating they are doing all work and then hire outside contractors must subnvt a new aaidavil indicating such. tContraetors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employers. 1f the sub-contractors have employees,they must provide:their workers''comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip.- ` Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). ` Failure to socure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimirl4a penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a finc. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investizatioas of the DIA for insurance coverage verification. Ido hereby certify under th4pains,napenalties ofperjury that the information provided abov/is true and correct Si ature: Date:Zee Phone #' 7 L� ! ' et'l Official use only. Do not write in this area, to be compleled by city or town official ' City or Town: Ferrrut/License # Issuing Authority (circle one): I. Board of Health 2.Building Department 3. City/Tot-rn Clerk 4.Electrical Inspector S. Plumbing Inspector 6. Other a ion and In t Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for then employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "a-n individual, partnership, association, corporation or other legal entity; or.any two or more `of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer,or the receivbr or buster of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house Ot on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall with the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any . applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance Rath the insurance requirements of this chapter have been presented to the contracting authority.' Ap p U cams Pleasc fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, it necessary, supply sub-conti-actor(s)name(s), addresses) and.phone numbers) along with their certificates)of insurance. Limited Liability Companies(LLG') or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have emply PY egrrir e o ees a policy is r ed. Be'advised that this aflYdavif may be submitted to the Department t of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' Compensation Policy,please call the Department at the number listed below. Self insured companies should enter their p o self-insurance license number on the 4 apprriatc line. p City or Town Officials Pleasc be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit(license number which will be used as a reference number. In addition, an applicant that must submit multiple permidlicense applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under`fob Site Address" fhe applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may_be provided to the applicant as proof that's.valid affidavit is on file for future permits or licens.cs. .A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telcphone•and fax-number: The C6mmonwea th of Massachusetts Department of Industrial Accidents Office of layestigatiaus• 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFB Fax # 617-727-7.749 Zevised 11-22-06 ' www.mass.gov/di a I _ Boar Bvlt`rrrtment of Public Safet, Board. Building RcL,ulation�:Construction Su ind Standards License: CS pervisor License . Restricted to: 00 102290 g f�` JOHN SAMBOGNA 38 SUFFOLK AVE WEST Y k ARMOUTH MA 02673 � �° ('nmmissiuncr Expiration: 11/24/2012 Tr#: 102290 Office o�e HOME IMP asu►ner Registration OV EMENT CO mess ga a4o - OS NT O a x1450 ACT R Expu�tion: .�7�1/3g�2012 _ License _--:____-: .- TYpe: 6efo t or registration SAMBOQN. _ Individual Office he expiration valid for indivi of date, dul JOHN SAME t: _ Bo Park p a2as Suit Affairs and gad retnr use only OG a n to: i 38 SUFFOLK AVE 'l- 4 on'MA 02116 SIT 0 tress Regulation WEST YgRMOU7H Undersecreta r3' � t valid witho signature ,ter optttp��~ Town of Barnstable o� Regulatory Services stHr,srAsc.r� q ' MA.M �+ Thomas F. Geiler,Director. Building•Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Pr operty Owner Must Complete and Sign This Section If Using A Builder I�i as Owner of the subject.property hereby authorize J Vq 6 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) tare er D to Giletr� Print Name If Property Owner is applying for pemzit please complete the' Homeowners License Exemption Form on the reverse side. - O•F(TRMC•f1WTJFRPFRi,.fTCC1(lTJ - Town of Barnstable ..- - o Regulatory Services Thomas F. Geiler,Director Building Division prfD>�i a Tom Perry, Building Commissioner 200 Mairi.Street,_Hyannis,MA 02601 Rww.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMMOP�R INCENSE EXEMPTION Please Print DATE: JOB LOCATION: number streat village "HOMEOWNER": • name borne phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code Tlhe current exetnptionfor"homeowners"was extended to include owner-occupied dwellinZS of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFWMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constMcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1)' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and . requirements. L4 Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMZOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building pcmrit is required shall be exempt from the provisions of this scction.(Scction 109.1.1 -Licensing of construction Supervisors);provided that if the,homeowner engages a person(s)for hire to do such work,that such HorhwAner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Conshvction Supervisors,Scction 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Would with a,liccnscd Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her rLsponsibilitics,many communities require,as part of the permit application, that the bDmeowner certify that he/she understands the msponstbilitics of a Supervisor. On the last page of this issue is a form currently used by la several towns. You may care t amend and adopt such a fomr/certification for use in your community. Q:forms:homccxcmpt SINE Sign TOWN OF BARNSTABLE Permit * iABNSTABLE, MASS. i6 Permit Number: Application Ref: 201102208 20070590 Issue Date: 04/28/11 Applicant: Proposed Use: MEDICAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 35 HIGH SCHOOL ROAD EXT Map Parcel 308076 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks REPLACE HANGING SIGN WITH FREESTND RICHARD HASKELL RICHARD J HASKELL DMD DENTISTRY CARVED WOOD Owner: HASKELL, RICHARD ) 8t Address: 35 HIGH SCHOOL RD EXT HYANNIS, MA 02601 Issued By: POST THIS CARD SO THAT IS VISIBLE FROM TFIE STREET oFYHET Town of Miknstable y�P o Regulatory Services;. .4. �q BARNSTABLE, ' MASS. $ Thomas F. Geiler, Directori �� Ea19. r 0.,E Building Division Tom Perry, Building Commissioner 22 200 Main Street, Hyannis, MA 02601 I, v www,town.barnstable.ma.us Office: ,508-862-4038 Fax: 508-790-6230 Permit# provin Building Official a b PP g---------- Application'for Sign Permit —_�__ __Assessors No.3b 6 0 ! . ----- Donng Business s: Telephone'No2Z Sign Location Street/Road: Zoning District:_— ___--- Old Kings HighwayP Yes/No Hyannis Historic District:P es No Proper wirer - I Name` — --- Telephone: IF --- -- p -- ---�--- . Address:�T ------------------- --=--Village: ---- Sign Co�_&Iu_ actor Name: — 1 — --- ---------Telephone:_ —_—J_------ Mailing Address:La __ - z • ------------- !a, Description { Please follow the'cover directions, You must have air accun-Rte reinditiorn'offsigii with dimensions and localionr; .. Is the sign to.be electrified? Ye (/Vote:JI ycs; ;i wiri»�permitis rer7uired) Width of building face_ ___ft. x 10 _ x ,10 __ _ = Check one Reface existing sign---- or New v Total S , rt. of proposedtsi ,s If you JMVC a&1itio11,21 signs pleas e,tttach a sheetlistilj, ech o»e wvith dime»siofJs If refacing an existng sign please provide,a picture of the existing sign with dimensions. I hereby certify thatI aim the owner or that I have die autlior4'of the owner to make this application,: that lhe''inl'ormation is correct and that the use and constru'6oii dial] conform-.to the provisions of .` §240,-59 through §240-89 ol'the Towni'of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent:= Date. 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''a,..:: ..+ a „.. ,, ..,,. ., .. .tom, :.,. ., .•.. :, r .„ �.......... ... ._._,,,.: �+ ' �.". :,-.62. -.�.,. �, 's t=.::..,m,t .�.•a :...:. -..;.. ,, - ,...:...� ,. wry-i, ,....:,a �. t�h, ,...�.,r ....R ,.?,.�a. ,.,.,.. v ...-,.tc a�:..e.. _'a'n•.-.. ....^. fi.... ., :, ... .4< a ,._. ya >n:, yF, ..,,:•:-r�x Y -�}.,I y>k :;�'S � },. ��,��_c,r '+`4,I :::a ,�y. �, t A'� �,., •.„ �k� '". .: � :".e,. _ _ Y C` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel 7f'o Permit# �,33q TOrNN 0I" SAy,'STABLE Health Division Date Issue 82. Conservation Division ? f)?Applic tton e�yQ� -' Tax Collector 0 /1:�5 Q'Z. o Permit Fee Treasurer ��" DIV1Sl0N Planning Dept. /O?� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village 1 4!,i i7 / Owner 6i�� .reel/ Address �f (reeldw Telephone 717T O 6p Permit Request 77> /Le.HBO_rP I",;o exro'f fi;7 9 f xt � r Lo �r Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �/ 50 . 4 U Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 3d V41. Historic House: ❑Yes YNo On Old King's Highway: ❑Yes ❑No Basement Type: UlFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Li-new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name A-`r Calyy- 7;.je • Telephone Number Address 11 Or License# / �/ 1;�I)m /Lr C( Home Improvement Contractor# Worker's Compensation# &4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE e DATE i FOR OFFICIAL USE ONLY � u ti PERMIT NO. y - S i DATE'ISSUED MAP/PARCEL NO. r ADDTESS' VILLAGE' DATE.OF INSPECTION: ` FOUNDATION ` FRAME ; INSULATION FIREPLACE J ELECTRICAL: ROUGH FINAL` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL + FINAL BUILDING i DATE CLOSED OUT ✓ , ASSOCIATION PLAN'NO. t. t v rY The Commonwealth of Massachusetts , Department of Industrial Accidents Office 01119sesoffatlans 600 Washington Street Boston,Mass. 02111 Workers Compensation Insurance Affidavit name: ���� location '� ` 7/ ci r' f phone# 7 7 ❑ I am a h6meowner performing all work myself. ❑ I am a sole r netor and have no one workin inarry capacity I am an employer providing workers' compensation for my employees working on this job. loe n i0 O crswX. ti ` ohonet - insuranceco: : ......... ,. ... .. ,.. ..., .__.. .. .. ...... ..:,:.... _ oli .#.. .. � . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: AN .:.. . ' . _ .......:.:..:::::.,.:::::::....:::....: w. ............ ad r Sv a > r C S ::.CO::::.�:.•. rn> LM n 1iO11C :1F`:Ci:2+.%:::::;::;`.;'?y:;�:}_':%.^?is <;:::::.;:'+.2'.:� :::::::::::::::?.::'i::%:`•'.'.ri:!;: y1^ ......�......::•::.:::::.. .... .............. .. ...........................................................:.....::.:...:.:::::.:::::...............................:.:::.... ................................................................................................................ Il M ntfitran .:::.: 6. �t dilressl R. ::::::::::::....................... :'i::;;:;•::;;;:•;t::;:::`:::;:::::::i":;::r.';; :isY::;:4i`:Si:::<:;:;>isi::;;:C:>':is�;:•`a;`•::::;;?;'::i: .'>;:::•:;>;;:•r:.i:;:.;•:;•>:::•: Failure to secure coverage as required under Section 25A of MGL 152 can bad to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oice of Investigations of the DIA for coverage verification I do hereby certify pains and penalties of perjury that the information provided above is true.and correct Signature Date — Q� Print narne �~ / e ®� Phone# / f� ' o /x Cell official use only do not write in this area to be completed by city or town official city or town: permit/license# []Building Department ❑Licensing Board ❑checkif immediate response is required ❑Seb chnen's Office ❑Health Department contact person: phone#; - ❑Other Oemed 9/95 PW i Information and Instructions r _1 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. _ An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any,of its political subdivisions shall enter into any contract for ttie performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation Policy,please call the Department at the number listed below. xxx I: City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retwaioed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of fnvesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 076 GEOBASE ID -` 22045 , ADDRESS 35 HIGH SCHOOL ROAD EXT PHONE Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 11073 DESCRIPTION RICHARD J_ HASKELL D.'M_D. PERMIT TYPE BSIGN TITLE SIGN PERMIT Department of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: Bo��L FEEs:�,q $5�:oo CONSTRUCTION COSTS $,00 Q^ 753 MSC. NOT CODED ELSEWHERE 1ARN3fABLE. MAS& i639. Y OWNER HASKELL, RICHARD J & ED INI`►� ADDRESS ROCHE JOHN J T.RS , 35 HIGH SCHOOL RD EXT ! HYANNIS MA { BU LDING/,DIVISION. ' DATE ISSUED 10/20/1995 EXPIRATION DATE BYE--�-.� u��- Al. DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY { TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION i BUILDING: a DATE: COMMENTS: PLUMBING: DATE: COMMENTS: ELECTRICAL: L' DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE:. COMMENTS: i TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME' . ..... .. st - a Sh ` ` [ PFIRMIT •� .`; DATE TOWN OF BARNSTABLE BUILDING DEPART MENT �a ' x, p 367 MAIN STREET �« rP� HYANNIS MA 02601 z- APPLICATION FOR SIGN PERMIT I�I C VAAN P C1 Mf ASSESSOR'S NO. APPLICANT: DOING BUSINESS AS: �1WAQDJy( IASuEL(_ Im' TELEPHONE' -Sb�� y 9 F + SIGN LOCATION Street/Road: ¢lf�y Sf�ooG �� �)rT ��°� ;77 ZONING DISTRICT: OLD RING'S HIGHWAY DISTRICT? yes no PROPERTY OWNER. Name; AS kELC S �Address: 1 J11C1-4acL Gk �. �* City: eAP State: MA Zip: / Tel. No. . SIGN CONTRACTOR. Name: 0 Y 0.,-� ; d� ,Nt1• Address: NG (3 Po (3O)e 6 f Cit : EAUNWC(4 stater p: 62, (b .yzip: 3 Tel. No DESCRIPTION DIAGRAM OF LOT SHOWING LOCATION OF BUILDINGS AND EXISTING SIGNS WITH DIMENSIONS, .LOG►TION AND '' SIZE OF THE NEW SIGN .TO BE DRAWN ON THE REVERSE SIDE OF THIS APPLICATION. x:, r t ' ix Is the sign to be electrified? yes no (NOTE: If yes, a Wiring permit is �required.')` h I hereby certify that I am the owner or that I have the authority of the owner toM make application, that the information is correct and that the use and. construction' shalT.7conform �tot the provisions. of Section 4-3 of th own of Barnstable Zoning ordinances. Date Signature Owner/Authorized Agent — — — — — — — — — — — — — — — — — — — .. .. — — — — — — — — :1. a 'pin v� r"`�`�?r ,•f�":r' r For` .office Use Size (Sq. Ft. ) [o Permit Fee kh,�O Approved Disapproved } Date Sigature Of Building of- MISC4 I `t ScHcoi- w 19 G° t�o20.c'-- f,•. z4 - P GYHrrFSrwlmEP Psr w1a0ss'gRA'f • GLc�ss� �3L�vc,� B,�6N!>/-'rqT B,t.yc.L ��.2iIaETE.� " ITV�,/�� /ivL�oUGNTSeow .Be�G,�ET l/Ot> 6'e0f�ND 3 , �Ov,C3LESl1�D i . AN1160N & COMPANY, iNCo : ' 376 Rte. 130 R. 0. Box 681 Sandwich, Massachusetts 02563 .(508) 888-0565 �{fPQ � vM1 f95mnlZIRTINIVAI, i Assessors map and lot number ................... Q�oFTHETo�♦ y Sewage Permit number .. JI�a/k�.,�'�� flu Iona House number ...........-.........�..................................................... WITH TITO 9 1639. \0� ' E�11�(�nsA�.��►,�a s r, away a• � TOWN OF BARNSTABLE1 4 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..d:?:t,,f.'t �.....4�jP&l I°y?................................................................. TYPE OF CONSTRUCTION ...Gil/..G.t0.2!...��.�.::?".!.............................................................................................. .....�..� .:`�.............19.90 k- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... � f G�f SG�Lc�o� a!f.7 ................... L............................... .... .......................................................... Proposed Use ✓...m.(�/....../J�Ls�.tJ ASS................................................... ................................................. s Zoning District ..............................................................i NC—�SS !/ /V....Fire District �J .�S ...... . . ................... ............................................ Name of Owner r.( IG grles e, §4" P-/� ........Address ........�� �Z"Z- / ,. .......................................... ..................................................................... Name of Builder .�V..�..-5 � �Q �3 . ............................ ...............Address .......................... ..... Name of Architect !�.°.. �b� o................................Address ..�4..T! / !/YlE/L................. ..... ... . .................... ,� e vre w �� Numberof Rooms ..................................................................Foundation .................. .�............ ..................... Exierior JlfNA ........ ..................................Roofing .. ' L�l�.......... . ................. .................... Floors ...... ..................................................................Interior�� `t tZ � ................. .................................................. r. :&: 4EB 4&D m . . ...../-.....11 :70X�/ Heating � Lf e..r .. ......... ...... ........... ............................. .. . ................ Fireplace ....... � � Approximate Cost? ................................................. ........ ..............'................................. Definitive Plan Approved by Planning Board ------- __ -----------19____�. Area . .................................. Diagram of Lot and Building with Dimensions Fee � .°. . SUBJECT TO APPROVAL OF BOARD OF HEALTH s 37 �3 SAC L & F 7b'ad FT. N ra,o� IJ 03 4.6 t5t o d--- 3o4, ..>�e To `3 ZZ�- 11�r,,l.s (o b' fio l.[oaT4 G • SGKo�ti. O I hereby agree to conform to al.l the Rules and Regulations of the Town of Barnstable regarding the above I, construction. Name ../. �..t%C% C. ::.......... .. ............ H�j�KELL, CHARLES C. Dr. No ..22.028... . A di i . .. Permit for ... ......UQn............... to Dental Office ............................................................I.................. Locationv 35 High School.........................................Road ai-k Hyannis ............................................................................... Owner Dr. Charles C. Haskell" .................................................................. O Type of Construction ......Frame....................... ................................................................ ............... Plot ............................ Lot ................................ Permit Granted ........................1...............19 80 Date of Inspection ...... .............................19 Date Completed .... ..............................19ou PERMIT REFUSED ................................................................. 19 .............................................................. rM 5- ...................................................... • . ... .... ............................................. ApprA............................................... 19 S........ .V. ............................................................. . r M ............................................................................... *,/ - - Assessor's map and lot number �/� � v..... ,�..� .�.�' A7 ' OF THE t0 ;;Sewage Permit number .�...y.�•?::7.�.p.��..!'l� ram•. �?..,�.� �-t Z EAEBSTADLE, i tHouse number .............3... .................................................... 9�� MAO �, x \0 �E0 mo a TOWN OF BARNSTAABLE Y BUILDING INSPECTOR APPLICATION FOR PERMIT TO (�..r1 h„�./.f u. ......4 a!{.:/ . ................................................................. TYPEOF CONSTRUCTION ...................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a /permit according to the following information: Location ....., .....:�f..�H.... C�7 �%/,,.../ rJ ................................................................ ................................... Proposed Use -/..�GL Zoning District ) Gl +vl"55...................................Fire District ... iJfiJ/S r Name of Owner.....1:.��il!:!`.f.. .... 4-5 -2//............'Address ........r�S 7�✓� U/Lf �................................. rName of Builder /I/J • „�07JficC ...'"`':......Address �� ( it/7c�itJ ..................... ........... .......................................... .Name of Architect �' �� r� .�. r'w ......................Address w / /a'lE2 `l/i�"%f`A Number of Rooms ..................................................Foundation .............�� 1� r.............eX,7(m1�- ................... J/, ,� T �.,� 9 / V Exterior ... ..................�..................................................Roofing ....SfJ...?..../....................................... .................... 1 Floors �) ���y �.lJ� � t 2 � 1�� �`i/XT .....::.................:............................................................Interior .................................f�................................................. �c. ...... ?3a ..�r-..Plumbin .......�...........� Heating .......................................................................... g .................................................... ra- Fireplace - 'N ....................................................Approximate Cost �G U ... ........................................................ Definitive Plan Approved by Planning Board _______ / --------19____'- Area ..�J ..... �T... ......... . J/ Diagram of Lot and Building with Dimensions Fee ..........--:52 ... ..................� SUBJECT TO APPROVAL OF BOARD OF HEALTH s o M BP 303 �'c 7Cp 4- 60 --SO FT IL 35 4,5 r 15t o.� - I)� M' � I q 30 J. ?�74v 1,5 5+- ' v�n►��n� s t- G S a� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name n ....:G ' :.�::.. ::....... .......... z HASKELL, CHARLES C. Dr. . . , ~- » ^ . No rennx ' .to Dent ^ � Location ...—' ' . �� . � Type of ' � . � � � - -------.. ' Permit uronm*o ~~'^ of Inspection^ D"'= Completed - PERMIT REFUSED ---------. — ' lV � � . i ----------''r-------~------'' ---------------------'----- � ---------~—^—'-------------' - Approved ---------------- 19 -------------------------- - � ............ � ~ . / � �� � k L MAP 08 CC 15,190 5 S A f F s ON lid/ � a t�PJ i 19 ti TO c., to o LAND }C A L. Cz (�r( P Z oF. .. MAR,R., ."!, 199 c-) / y a P•y,ja t:ati''� F�a i